| Samantha Lynn Liddle, MS,SLP | |
|
1289 Oliver St, Fayetteville, NC 28304-4450 | |
| (910) 483-8331 | |
| (910) 483-8335 |
| Full Name | Samantha Lynn Liddle |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1289 Oliver St, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255912259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14801 (North Carolina) | Primary |
| Provider Name | Coastal Speech Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lynn Liddle, MS,SLP Po Box 87294, Fayetteville, NC 28304-7294 Ph: (910) 483-8331 | Samantha Lynn Liddle, MS,SLP 1289 Oliver St, Fayetteville, NC 28304-4450 Ph: (910) 483-8331 |
Rebecca Lynne Deshazo, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3637 Sycamore Dairy Rd, Fayetteville, NC 28303 Phone: 910-487-1832 Fax: 910-487-6950 | |
Kristen Anna Singleman, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Southeastern Communication And Swallowing Specialists Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2039 Merrimac Dr, Fayetteville, NC 28304 Phone: 910-495-3324 | |
Mrs. Molly Mcgowan White, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1212 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-299-0700 Fax: 910-299-0800 | |
Stacy Wilson, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Julie A Gerard, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3419b Melrose Rd, Fayetteville, NC 28304 Phone: 910-257-2005 Fax: 910-485-6315 | |
Mrs. Sonyae Evans Oates, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 Hay St, Suite 220, Fayetteville, NC 28301 Phone: 910-488-4100 Fax: 910-483-8721 |